Organization Active NPI

Comcare of Stillwater LLC

  • General Practice Physician
  • Stillwater, OK
National Provider Identifier
1063877462
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COMCARE OF STILLWATER LLC
Practice address
1417 S Western Rd
Stillwater, OK 74074-6957
Phone
(405) 707-3091
Fax
(405) 707-3092
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Justin Turner
Title
Chief Executive Officer
Phone
(405) 605-3227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1417 S Western Rd
Stillwater, OK 74074-6957

Mailing address

5909 NW Expressway
Suite 300
Oklahoma City, OK 73132-5161
Phone (405) 605-3227

National Provider Directory

National Provider Directory

Locations

5909 NW Expressway
Ste 300
Oklahoma City, OK 73132
Phone (405) 470-3223

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1063877462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 NW EXPRESSWAY",
            "address_2": "SUITE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325161",
            "telephone_number": "405-605-3227",
            "fax_number": "405-470-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 S WESTERN RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740746957",
            "telephone_number": "405-707-3091",
            "fax_number": "405-707-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMCARE OF STILLWATER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "405-605-3227"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.